| A B C D E F G H I J K L M N O P Q R S T U V W X Y Z # |
Hepatitis B Surface Antigen High Risk Cascade
MessagePerforming Lab: Central Lab
Test Code
3715
Alias/See Also
Sunquest: HBSR
CPT Codes
87340
Includes
Reflex testing if positive: Hepatitis B Quantitative DNA by Real-Time PCR; Hepatitis Be Antigen; Hepatitis Be antibody
Reflex testing if negative: Hepatitis B surface antibody; Hepatitis B core total antibody
Reflex testing if negative: Hepatitis B surface antibody; Hepatitis B core total antibody
Preferred Specimen
3.0 mL Serum Separator FULL (Tall gold-top) tube
Minimum Volume
3.0 mL
Transport Temperature
Refrigerated
Specimen Stability
Refrigerated: 7 days
Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Gross hemolysis
Methodology
Chemiluminescence Immunoassay
Setup Schedule
Monday - Friday
Report Available
2 Business Days
Limitations
High risk includes patients with a history of IV drug abuse, history of STD’s, multiple sex partners, sex partners with known Hepatitis B disease, patients infected with HIV, homosexual contact, exposure to known contaminated blood or blood products, history of a needle stick exposure, and ethnicity/country of birth from areas of the world with a high rate of HBV endemicity. HBsAg Risk Cascade testing reflexes into two different algorithms depending on if reported as Negative (Non-Reactive) or Positive (Reactive).
Reference Range
Negative (Non-reactive)
Clinical Significance
HBsAg is a protein produced by the Hepatitis B Virus (HBV) and is the earliest indicator of acute Hepatitis B. In some people, chronic infection with HBV may occur and HBsAg remains positive for a long period of time. When this occurs, other tests may be helpful to distinguish Hepatitis B carrier status, such as Hepatitis Be Antigen, Hepatitis Be Antibody and Hepatitis B DNA Quantitative PCR. HealthPartners offers multiple Hepatitis B surface antigen codes.
• Epic Test code # 4607 (Sunquest code HBsAg, No Reflex) does not reflex to any testing.
• This Hepatitis B surface Antigen test code (Epic # 0186) is helpful for screening in pregnancy and provides reflex testing when reported as Positive (Reactive).
• For any patients considered to be at high risk for Hepatitis B infection, Physicians should order the test named: HBsAg Risk Cascade (Sunquest code HBSR / Epic # 3715). High risk includes patients with a history of IV drug abuse, history of STD’s, multiple sex partners, sex partners with known Hepatitis B disease, patients infected with HIV, homosexual contact, exposure to known contaminated blood or blood products, history of a needle stick exposure, and ethnicity/country of birth from areas of the world with a high rate of HBV endemicity. HBsAg Risk Cascade testing reflexes into two different algorithms depending on if reported as Negative (Non-Reactive) or Positive (Reactive).
• Epic Test code # 4607 (Sunquest code HBsAg, No Reflex) does not reflex to any testing.
• This Hepatitis B surface Antigen test code (Epic # 0186) is helpful for screening in pregnancy and provides reflex testing when reported as Positive (Reactive).
• For any patients considered to be at high risk for Hepatitis B infection, Physicians should order the test named: HBsAg Risk Cascade (Sunquest code HBSR / Epic # 3715). High risk includes patients with a history of IV drug abuse, history of STD’s, multiple sex partners, sex partners with known Hepatitis B disease, patients infected with HIV, homosexual contact, exposure to known contaminated blood or blood products, history of a needle stick exposure, and ethnicity/country of birth from areas of the world with a high rate of HBV endemicity. HBsAg Risk Cascade testing reflexes into two different algorithms depending on if reported as Negative (Non-Reactive) or Positive (Reactive).
